| NPI | 1558556456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA M. VACENDAK President 312-402-6231 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223G0001X Dentist, General Practice (Licence: IL 019026908) |
| Enumeration Date | 2007-09-13 |
| Last Update Date | 2007-09-26 |